19 results
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
- Differential Diagnosis ... Algorithm Ventilation ... • Pulmonary Arterial ... Defect ** • Atrial ... #Diagnosis #Algorithm
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Diagnosis Algorithm ... neuromuscular disease ... V/Q Mismatch: ↓Ventilation ... #Diagnosis #Algorithm ... #pulmonary #Aa
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... to chronic lung disease ... (COPD) • Hypoxia ... • Pulmonary hypertension ... MAT #Cardiology #Diagnosis
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... Algorithm Stridor ... asthma • Pleural disease ... #Diagnosis #Management ... #pulmonary
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
the mechanical ventilation ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm
Pulmonary Arterial Hypertension
 • Idiopathic
 • Associated with:
Causes of Pulmonary ... - Differential Diagnosis ... Algorithm Pulmonary ... Arterial Hypertension ... and/or Hypoxemia
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
- Differential Diagnosis ... Interstitial lung diseases ... direction leads to hypoxemia ... shunting (eg, atrial ... #Differential #Diagnosis
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... control with early Afib ... (< 5% pts with afibb ... #Fibrillation #AFib ... #diagnosis #management
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Ventilator Troubleshooting ... Obstructive lung disease ... Bronchodilators/Steroids Hypoxemia ... Troubleshooting #diagnosis ... #management #pulmonary
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
upright position • Hypoxemia ... cycles after right atrial ... Quantifies degree of hypoxemia ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary